Individual
STEPHANIE MOORE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
6817 FRANKSTOWN AVE, APARTMENT 1, PITTSBURGH, PA 15208-1354
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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